Assessment Forms:
If you are coming to see us for psychological, developmental, or educational testing, please bring the forms below to your initial meeting. We will be happy to discuss any questions or concerns about these forms with you on the phone or in person.
Forms for All Assessment Clients:

CPAC HIPPA | |
File Size: | 81 kb |
File Type: |

CPAC Informed Consent | |
File Size: | 74 kb |
File Type: |
Additional Form for Children Under 18:

Info Form Child | |
File Size: | 41 kb |
File Type: |
Additional Form for Adults over 18:

Info Form Adult | |
File Size: | 38 kb |
File Type: |
Consultation Forms:
If you have scheduled a Consultation meeting, the forms below must be completed prior to your appointment. Please call us with any questions or concerns.
Forms for all Consultation Clients:

CPAC HIPPA | |
File Size: | 81 kb |
File Type: |

CPAC Informed Consent | |
File Size: | 74 kb |
File Type: |

Consent to Consultation | |
File Size: | 38 kb |
File Type: |
Credit Card Authorization Form:
The following form should be completed if you would like to use a credit card to pay for services:

Credit Card Authorization | |
File Size: | 41 kb |
File Type: |